University of Bielefeld, Department of Epidemiology & International Public Health, School of Public Health, D-33501 Bielefeld, Germany.
BMC Public Health. 2010 Feb 24;10:92. doi: 10.1186/1471-2458-10-92.
A large and increasing part of the European population has a history of migration. Germany, for example, is home to about 15 million people with migrant background, which amounts to 19% of its population. Migrants may have differences in their lifestyle, health beliefs and risk factors compared to the autochthonous populations.
As for example studies on children's participation in routine prevention activities have shown, these differences can have a relevant impact on the access of migrants to the health care system and are likely to lower their participation in prevention programs compared to the autochthonous population. To increase the uptake of prevention programs, barriers to access must be identified and approaches to reduce them must be developed.
Taking the example of Germany, a need exists for prevention programs that include (migrant sensitive) and specifically address (migrant specific) migrants. These should be of sufficient scale, evidence-based, sustainable and evaluated at regular intervals.
欧洲有很大一部分且不断增长的人口具有移民背景。例如,德国有 1500 万左右的移民,占其总人口的 19%。与本地人口相比,移民的生活方式、健康观念和风险因素可能存在差异。
例如,儿童参与常规预防活动的研究表明,这些差异可能会对移民获得医疗保健系统的机会产生重大影响,并可能导致他们参与预防计划的比例低于本地人口。为了增加预防计划的参与度,必须确定获取途径方面的障碍,并制定减少这些障碍的方法。
以德国为例,需要制定包括(对移民敏感的)并特别针对(移民特有的)移民的预防计划。这些计划应该具有足够的规模、基于证据、可持续,并定期进行评估。